[Federal Register Volume 63, Number 71 (Tuesday, April 14, 1998)]
[Notices]
[Pages 18231-18232]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 98-9831]


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DEPARTMENT OF LABOR

Employment Standards Administration


Proposed Collection; Comment Request

ACTION: Notice.

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SUMMARY: The Department of Labor, as part of its continuing effort to 
reduce paperwork and respondent burden, conducts a preclearance 
consultation program to provide the general public and Federal agencies 
with an opportunity to comment on proposed and/or continuing 
collections of information in accordance with the Paperwork Reduction 
Act of 1995 (PRA95) [44 U.S.C. 3506(c)(2)(A)]. This program helps to 
ensure that requested data can be provided in the desired format, 
reporting burden (time and financial resources) is minimized, 
collection instruments are clearly understood, and the impact of 
collection requirements on respondents can be properly assessed. 
Currently, the Employment Standards Administration is soliciting 
comments concerning the proposed revision collection of FECA Medical 
Report Forms: CA-7, CA-8, CA-16b, CA-20, CA-20a, CA-1090, CA-1303, CA-
1305, CA-1306, CA-1314, CA-1316, CA-1331, CA-1332, CA-1336, OWCP-5a, 
OWCP-5b, and OWCP-5c. Copies of the proposed information collection 
requests can be obtained by contacting the office listed below in the 
addressee section of this notice.

DATES: Written comments must be submitted to the office listed in the 
addressee section below on or before June 15, 1998. The Department of 
Labor is particularly interested in comments which:
     Evaluate whether the proposed collection of information is 
necessary for the proper performance of the functions of the agency, 
including whether the information will have practical utility;
     Evaluate the accuracy of the agency's estimate of the 
burden of the proposed collection of information, including the 
validity of the methodology and assumptions used;
     Enhance the quality, utility and clarity of the 
information to be collected; and
     Minimize the burden of the collection of information on 
those who are to respond, including through the use of appropriate 
automated, electronic, mechanical, or other technological collection 
techniques or other forms of information technology, e.g., permitting 
electronic submissions of responses.
ADDRESSES: Contact Ms. Patricia Forkel at the U.S. Department of Labor, 
200 Constitution Avenue, NW., Room S-3201, Washington, DC 20210, 
telephone (202) 219-7601. The Fax number is (202) 219-6592. (These are 
not toll-free numbers.)

SUPPLEMENTARY INFORMATION:

I. Background

    Statute 5 U.S.C. 8101 et seq. of the Federal Employees' 
Compensation Act provides for the payment of benefits for wage loss 
and/or for permanent payment to a scheduled member, arising out of a 
work related injury or disease. The CA-7 and CA-8 request information 
allowing the Office of Workers' Compensation Programs to fulfill its 
statutory requirements for the period of compensation claimed (e.g., 
the pay rate, dependents, earnings, dual benefits, and third party 
information). The other forms in this proposed revision collection 
collect medical information necessary to determine entitlements to 
benefits.

II. Current Actions

    The Department of Labor (DOL) seeks approval of the revision of 
this information collection to collect information in order to carry 
out its responsibility to determine eligibility for and the 
compensation of benefits. For ease of completion, the CA-8 has been 
eliminated and the CA-7 has been extensively revised to combine all 
elements from the CA-8. The CA-20a has been eliminated; former 
respondents to the CA-20a will now complete the CA-20. All other forms 
remain unchanged.
    Type of Review: Revision.
    Agency: Employment Standards Administration.
    Title: FECA Medical Report Forms.
    OMB Number: 1215-0103.
    Agency Numbers: CA-7, CA-16b, CA-17b, CA-20, CA-1090, CA-1303, CA-
1305, CA-1306, CA-1314, CA-1316, CA-1331, CA-1332, CA-1336, OWCP-5a, 
OWCP-5b, OWCP-5c.
    Affected Public: Business or other for-profit; Federal Government; 
individuals or households.
    Total Respondents: 441,855.
    Frequency: As needed.
    Total Responses: 441,855.
    Estimated Total Burden Hours: 43,414.

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                                                                                      Average                   
                      Form                          Respondents      Responses      minutes per    Burden hours 
                                                                                     response                   
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CA-7............................................             400             400              13              87
CA-16b..........................................         157,000         157,000               5          13,083
CA-17b..........................................         134,000         134,000               5          11,167
CA-20...........................................         112,000         112,000               5           9,333
CA-1090.........................................             800             800               5              67
CA-1303.........................................           4,000           4,000              20           1,333
CA-1305.........................................              80              80              20              27
CA-1306.........................................              25              25              10               4
CA-1314.........................................           1,200           1,200              20             400
CA-1316.........................................           1,100           1,100              10             183
CA-1331.........................................             750             750               5              63
CA-1332.........................................           1,500           1,500              30             750
CA-1336.........................................           2,000           2,000               5             167

[[Page 18232]]

                                                                                                                
OWCP-5a.........................................           7,000           7,000              15           1,750
OWCP-5b.........................................           5,000           5,000              15           1,250
OWCP-5c.........................................          15,000          15,000              15           3,750
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    Total Burden Cost (capital/startup): 0.
    Total Burden Cost (operating and maintenance): $154,649.
    Comments submitted in response to this notice will be summarized 
and/or included in the request for Office of Management and Budget 
approval of the information collection request; they will also become a 
matter of public record.

    Dated: March 7, 1998.
Cecily A. Rayburn,
Director, Division of Financial Management, Office of Management, 
Administration and Planning, Employment Standards Administration.
[FR Doc. 98-9831 Filed 4-13-98; 8:45 am]
BILLING CODE 4510-27-P